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Control Number: <br />401.06.03.087 <br />Version: <br />2.1 <br />Title: <br />Healthcare for Offenders Housed in <br />Non-Idaho Department of Correction <br />Facilities <br />Page Number: <br />6 of 7 <br /> <br />Dental Conditions—Acute or Emergent <br />This subcategory includes dental conditions that are of an immediate, acute, or <br />emergent nature, which without care (1) would cause rapid deterioration of the <br />offender’s health or significant irreversible loss of function, or (2) may be life <br />threatening. <br />Examples of dental conditions considered acute or emergent include, but are not <br />limited to: <br />• Face / neck swelling, <br />• Face / neck pitting edema, <br />• Fractured jaw, <br />• Fever, <br />• Purulent drainage, <br />• Fractured tooth at gum line; <br />Note: A dental condition in this subcategory does not require approval from the <br />health authority prior to providing treatment; however, Appendix A, Medical Request <br />for Payment Authorization, must be submitted to the Health Services staff as soon as <br />possible but no later than 72 hours of transporting the offender to a dental facility. If <br />the offender is housed in a county jail, see SOP 302.02.01.001, Assessment and <br />Placement of State-sentenced Offenders in County Jails. <br />Dental Care—Non-acute or Non-emergent <br />• All other requests for dental care will be approved for extraction or filling only <br />and only on the one (1) tooth needing care (e.g. pain, cracked, broken, filling fell <br />out, etc.) <br />• If a licensed dental provider indicates that non-emergent, extensive dental work <br />is needed, include that documentation when submitting Appendix A, Medical <br />Request for Payment Authorization, to the health authority who may give <br />approval to (1) treat the offender at the county or (2) move the offender to a state <br />facility for further treatment. <br />Note: A dental condition in this subcategory does require approval from the health <br />authority prior to providing treatment. Submit Appendix A, Medical Request for <br />Payment Authorization, to the Health Services staff. <br />Optometry Care <br />• Shall consist of an optical examination at a cost not to exceed $96.00. <br />• Corrective eyewear, if indicated, will be approved at a cost not to exceed <br />$20.00. <br />• Optometry care may also, at the discretion of Health Services staff, be deferred <br />to a state facility. The offender may then pursue optical care when transferred.